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Table 1 Example of a Case (IS)

From: The role of guidelines and the patient's life-style in GPs' management of hypercholesterolaemia




The patient is a 67-year-old woman whose recent cholesterol value was 7.3 mmol/L. She has had the diagnosis hypercholesterolaemia for two years. She has been given advice concerning diet but she has not been prescribed a cholesterol-lowering drug. Her cholesterol value has decreased from an initial value of 7.8 mmol/L


The patient has been on medication for hypertension for 10 years (Seloken ZOC* 50 mg and Plendil** 5 mg). She is now on a visit to check her blood pressure and hypercholesterolaemia.


The patient has no other known diseases apart from osteoarthritis of her knees. Her mother suffered from hypertension and reached the age of 84 years.


The patient is a non-smoker. She very seldom drinks alcohol. She does not exercise on a regular basis but she is fond of taking walks.


Physical examination: Good general condition. A few kilograms overweight. Blood pressure 145/75. Heart and lung auscultation normal.


Laboratory values: Total cholesterol 7.3 mmol/L. LDL 5.4 mmol/L. HDL 1.2 mmol/L. Triglycerides 1.6 mmol/L. TSH, creatinine and liver-function tests were normal.


Would you prescribe a cholesterol-lowering drug for this patient?

Yes □ No □